NPIMap

Organization Active NPI

Westchester Elite Dental P.C.

  • Dentist
  • Yonkers, NY
National Provider Identifier
1104143262
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
054638-1 Issued in NY
Legal business name
WESTCHESTER ELITE DENTAL P.C.
Practice address
460 S Broadway FL 2
Yonkers, NY 10705-2340
Phone
(914) 378-0918
NPI assigned
Apr 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Simon Victor Gedeon, D.M.D.NPI 1275729956
Title
President
Phone
(914) 378-0918

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 054638-1 NY Primary

Addresses

Primary practice location

460 S Broadway FL 2
Yonkers, NY 10705-2340

Mailing address

460 S Broadway FL 2
Yonkers, NY 10705-2340
Phone (914) 378-0918

National Provider Directory

National Provider Directory

Locations

460 S Broadway
#2
Yonkers, NY 10705
Phone (914) 378-0918

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1104143262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 S BROADWAY FL 2",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107052340",
            "telephone_number": "914-378-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 S BROADWAY FL 2",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107052340",
            "telephone_number": "914-378-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHESTER ELITE DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "GEDEON",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-378-0918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "054638-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.